Habilitation Center, LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

HABILITATION CENTER, LLC

Doing business as

Millcreek of Arkansas

Practice address

1828 Industrial Dr
Fordyce, AR 71742-7110

Phone

(870) 352-8203

Fax

(870) 352-5311

NPI assigned

Feb 13, 2024

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Phillip Farley

Title

Vice President & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Millcreek of Arkansas Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659135358. Details of each certification follow.

• CCN 04G011 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 04G011

Legal name

MILLCREEK OF ARKANSAS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 22, 1988

Last certification

Jan 15, 2026

Beds

61

Ownership / control type

Private (proprietary)

Facility address

1828 Industrial Drive
Fordyce, AR 71742

Tax ID family

Habilitation Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Habilitation Center, LLC

  dba Little Creek Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Conway, AR
  • NPI 1932746070
  NPD tax ID
• Habilitation Center, LLC

  dba Millcreek of Arkansas

  • Psychiatric Residential Treatment Facility
  • Fordyce, AR
  • NPI 1952482036
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1659135358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 INDUSTRIAL DR",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717427110",
            "telephone_number": "870-352-8203",
            "fax_number": "870-352-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheena Garrard, LPC
• Erin Gehring
• Kreston Tyrell Gibbs
• Randy Dale Green, MS, LAC
• Linda Griggs, ASN
• Habilitation Center, LLC (Millcreek of Arkansas)
• Paul Antonio Hall, MHPP
• Nikki Linn Hardemon, MHPP
• Sonya Harmon, MHPP
• Dianne Harris, MHPP

• Intellectual Disabilities Intermediate Care Facility in Fordyce, AR
• Providers in Fordyce, AR by specialty
• Intellectual Disabilities Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.